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Contact Information

LYDIA HOME ASSOCIATION
4300 W IRVING PARK RD #B
COUNSELING CENTER
CHICAGO, IL60641-2825
 Phone: 773-736-1447
 Fax: 773-736-6970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Mental Health

261QM0850X
 

Adolescent and Children Mental Health

261QM0855X
 

Case Management

251B00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LYDIA HOME ASSOCIATION

NPI # 1316904956
LBN Legal business name LYDIA HOME ASSOCIATION
Authorized official DAVID ANDERSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2006
Last updated 02/25/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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